| My Father's House, Inc | |
|
Po Box 230 Gloucester City NJ 08030-0230 | |
| (856) 742-0900 | |
| (856) 742-0900 |
| Full Name | My Father's House, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | Po Box 230, Gloucester City, New Jersey |
| Authorized Official Name and Position | Sean Broderick (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8567420900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Father's House, Inc Po Box 230 Gloucester City NJ 08030-0230 Ph: (856) 742-0900 | My Father's House, Inc Po Box 230 Gloucester City NJ 08030-0230 Ph: (856) 742-0900 |
| NPI Number | 1003327388 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 10/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003327388 | NPI | - | NPPES |
| 7601905 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
St Remi Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 822 Klemm Ave, Gloucester City, NJ 08030 Phone: 856-282-5566 Fax: 856-396-9917 |